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HomeMy WebLinkAboutFMC APP 11.19.19UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING/ ' SB989 SECONDARY CONTAINMENT TESTING/TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION (Please note that these are separate individual tests and will be charged per separate type test accordingly.) PERMIT # D ❑ ENHANCED LEAK DETECTION ❑ TANK TIGHTNESS �� ❑ LINETESTING XFUEL MONITORING CERTIFICATION BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661 - 326 -3979 F Fax: 661- 852 -2171 Page 1 of 1 ❑ SB -989 SECONDARY CI ❑ OVERFILL PREVENTION SITE INFORMATION FACILITY J � 0 c,y ^ ^ 1 ` I`' `TI �,FY'Il /✓� TC AME a PHONE tt OF CO TAFT P 5 1 ADDRESS /f//�'�)y -/D� lb' OWNERNAME ` I fD OPERATOR NAME PEkXITT. OPERATE R # OF TANKS TO BE TESTED: 15 PIPING GOING TO BE TESTED? ❑ YES NO TANK It VOLUME CONTENTS Cu q 1 C -16t TANK TESTING COMPANY TESTING COMPANY I, HOME AJPH \ E # OF CONTAC,j PERSON �^ O (' o MAIL G AD}1RE55 -Tr /� (� 1 �OS` 1 YI \V\ I (vL lA\ Ram h CAL N AME aPHCONE ADF ESTRORSPE.UL.NSPFrTDR CERTIFICATION TEST METHOD Icc # L �� AP ICA $I�ATURI 1 C DATE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE FD1095 (Rev 031181